Individual provider Active NPI

Tyler Lamar Brown, PAC

  • Physician Assistant
  • Bremerton, WA
National Provider Identifier
1720873144
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA70044831 Issued in WA
Practice address
4205 Kitsap Way
Bremerton, WA 98312-2447
Phone
(360) 782-7780
Fax
(360) 782-7789
NPI assigned
Apr 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA70044831 WA
Physician Assistant 363A00000X PA70044831 WA Primary

Addresses

Primary practice location

4205 Kitsap Way
Bremerton, WA 98312-2447

Mailing address

4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780

Other practice location 1

450 S Kitsap Blvd Ste 100
Port Orchard, WA 98366-3709
Phone (360) 895-7620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO
Pasadena, CA 91110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA70044831WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients

Locations

4205 Kitsap Way
Bremerton, WA 98312
Phone (360) 782-7780

450 S Kitsap Blvd
Ste 100
Port Orchard, WA 98366
Phone (360) 744-6275

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1720873144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 KITSAP WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122447",
            "telephone_number": "360-782-7780",
            "fax_number": "360-782-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 KITSAP WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122447",
            "telephone_number": "360-782-7780",
            "fax_number": "360-782-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S Kitsap Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983663709",
            "country_code": "US",
            "telephone_number": "360-895-7620",
            "fax_number": "360-895-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TYLER",
        "middle_name": "LAMAR",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA70044831",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA70044831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.